Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.52 / $317.52 / $320.89	Facility		$317.52	$317.52	$320.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.97 / $317.52 / $379.57	Professional		$293.97	$317.52	$379.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.04 / $602.04 / $639.38	Facility		$602.04	$602.04	$639.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.89 / $365.89 / $474.67	Professional		$365.89	$365.89	$474.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $323.00 / $411.56	Professional		$323.00	$323.00	$411.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.82 / $382.03 / $382.03	Facility		$321.82	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $382.03	Professional		$278.88	$278.88	$382.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.44 / $541.85 / $722.46	Professional		$421.44	$541.85	$722.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.91 / $371.50 / $685.33	Facility		$193.91	$371.50	$685.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $790.80 / $1,002.82	Professional		$339.00	$790.80	$1,002.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $329.85 / $452.45 / $752.56	Facility		$329.85	$452.45	$752.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $329.85 / $452.45 / $752.56	Professional		$329.85	$452.45	$752.56
United Facility/Professional Professional Modifier Low / Median / High Price $279.92 / $300.36 / $462.84	Professional		$279.92	$300.36	$462.84